<include file="Wap@Public:header" />
<div class="btn-group" style="margin-bottom:10px;">
	<a href="{:U('Feedback/Wap/index')}" class="btn btn-default">提交</a>
	<a href="{:U('Feedback/Wap/show')}" class="btn btn-default">查看</a>
</div>
<div class="panel panel-danger">
	<div class="panel-heading">
		<h3 class="panel-title">建议反馈</h3>
	</div>
	<div class="panel-body">
		<form method="POST" action="" class="form-horizontal">
			<div class="form-group">
				<label for="name" class="col-sm-2 control-label">您的姓名：</label>
				<div class="col-sm-5">
					<input type="text" class="form-control" id="name" name="name" placeholder="您的姓名" datatype="*6-16">
				</div>
			</div>
			<div class="form-group">
				<label for="email" class="col-sm-2 control-label">电子邮箱：</label>
				<div class="col-sm-6">
					<input type="text" class="form-control" id="email" name="email" placeholder="电子邮箱" datatype="*6-16">
				</div>
			</div>
			<div class="form-group">
				<label for="phone" class="col-sm-2 control-label">联系电话：</label>
				<div class="col-sm-5">
					<input type="text" class="form-control" id="phone" name="phone" placeholder="联系电话" datatype="*6-16">
				</div>
			</div>
			<div class="form-group">
				<label for="content" class="col-sm-2 control-label">留言内容：</label>
				<div class="col-sm-8">
					<textarea class="form-control" id="content" name="content" datatype="*2-18"></textarea>
				</div>
			</div>

			<div class="form-group">
				<div class="col-sm-offset-2 col-sm-10">
					<button type="submit" class="btn btn-danger">确认提交</button>
				</div>
			</div>
		</form>
	</div>
</div>
<include file="Wap@Public:footer" />